Invasive Heart Rate Control as a Salvage Therapy in Amiodarone-induced Thyroid Storm

IF 1.1 Q2 MEDICINE, GENERAL & INTERNAL Medeniyet medical journal Pub Date : 2022-02-17 DOI:10.4274/MMJ.galenos.2022.55453
E. E. Ozcan, Mustafa Doğduş, R. Y. Yilancioğlu, S. C. Adiyaman, O. Turan
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引用次数: 1

Abstract

Atrial fibrillation (AF) is the most common arrhythmia, and amiodarone is one of the most commonly used drugs for medical cardioversion of AF, which should be used carefully due to its toxic effects. Amiodaroneinduced thyrotoxicosis (AIT) may develop in amiodarone-treated patients. In contrast, the most common rhythm disturbance accompanying a thyroid storm is AF. This association may put both AF and thyrotoxicosis treatment into a vicious circle, leading to AI cardiomyopathy. Herein, we aimed to present atrioventricular node ablation as a salvage therapy in a patient with AIT who had AF-causing hemodynamic impairment, resistance to medical therapy, and cardioversion.
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有创心率控制作为胺碘酮诱导甲状腺风暴的抢救治疗
房颤(Atrial fibrillation, AF)是最常见的心律失常,胺碘酮是房颤医学复律中最常用的药物之一,由于其毒性作用,应慎用。胺碘酮诱导的甲状腺毒症(AIT)可能发生在胺碘酮治疗的患者。相反,伴甲状腺风暴最常见的心律失常是房颤。这种关联可能使房颤和甲状腺毒症治疗陷入恶性循环,导致AI心肌病。在此,我们的目的是提出房室结消融作为一种救助性治疗,用于心房颤动引起的血流动力学损害、药物治疗抵抗和心律转复的AIT患者。
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来源期刊
Medeniyet medical journal
Medeniyet medical journal Medicine-Medicine (all)
CiteScore
1.70
自引率
0.00%
发文量
88
审稿时长
5 weeks
期刊介绍: The Medeniyet Medical Journal (Medeniyet Med J) is an open access, peer-reviewed, and scientific journal of Istanbul Medeniyet University Faculty of Medicine on various academic disciplines in medicine, which is published in English four times a year, in March, June, September, and December by a group of academics. Medeniyet Medical Journal is the continuation of Göztepe Medical Journal (ISSN: 1300-526X) which was started publishing in 1985. It changed the name as Medeniyet Medical Journal in 2015. Submission and publication are free of charge. No fees are asked from the authors for evaluation or publication process. All published articles are available online in the journal website (www.medeniyetmedicaljournal.org) without any fee. The journal publishes intradisciplinary or interdisciplinary clinical, experimental, and basic researches as well as original case reports, reviews, invited reviews, or letters to the editor, Being published since 1985, the Medeniyet Med J recognizes that the best science should lead to better lives based on the fact that the medicine should serve to the needs of society, and knowledge should transform society. The journal aims to address current issues at both national and international levels, start debates, and exert an influence on decision-makers all over the world by integrating science in everyday life. Medeniyet Med J is committed to serve the public and influence people’s lives in a positive way by making science widely accessible. Believing that the only goal is improving lives, and research has an impact on people’s lives, we select the best research papers in line with this goal.
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